HSN702 Assignment 2: Detailed Nutrition Assessment of Agnes Case Study

This assignment presents a detailed nutrition case study of a 72-year-old female resident named Agnes, residing in an aged care facility. Agnes exhibits poor appetite, high blood pressure, and elevated cholesterol levels. The analysis includes a comprehensive breakdown of her daily nutrient intake, comparing it to Estimated Average Requirements (EAR), Recommended Dietary Intakes (RDI), Adequate Intakes (AI), Suggested Dietary Targets (SDT), and Upper Levels of Intake (UL). The assessment covers various aspects, including energy, macronutrients (protein, fat, carbohydrates), micronutrients (vitamins and minerals), and other dietary components such as fiber and fatty acids. The assignment aims to evaluate Agnes's dietary adequacy, identify potential deficiencies or excesses, and provide insights into her overall nutritional status. The data also includes a food list detailing Agnes's daily consumption. The assignment aligns with the HSN702 Lifespan Nutrition Assessment course, requiring students to consolidate their knowledge and apply it to provide practical strategies to overcome nutritional concerns and prepare an educational material to improve dietary intake.

Agnes
DESCRIPTION
A 72 year old female resident at the aged care facility . Has a poor appetite and a high
hypertension and cholesterol levels.
ANALYSIS SUMMARY
Avg/Day EAR EAR(%) Alerts
Weight (g) 1992
Energy (kJ) 4307
Protein (g) 51 38 136%
Total fat (g) 39
- Saturated fat (g) 15
- Trans Fatty Acids (g) 1
- Polyunsaturated fat (g) 8
- Monounsaturated fat (g) 12
Cholesterol (mg) 135
Carbohydrate (g) 115
Sugars (g) 66
Added Sugars (g) 52
Free Sugars (g) 59
Starch (g) 49
Water (g) 1763 <AI
Alcohol (g) 0
Dietary fibre (g) 10 <AI, <SDT
Ash (g) 8
Thiamin (mg) 1.33 0.90 147%
Riboflavin (mg) 0.59 1.10 53% <EAR, <RDI
Niacin (mg) 14.45
Niacin equivalents (mg) 24.75 11.00 225%
Vitamin C (mg) 46.91 30.00 156% <SDT
Vitamin E (mg) 4.27 <AI, <SDT
Tocopherol, alpha (mg) 4.20
Vitamin B6 (by analysis) (mg) 0.57 1.30 44% <EAR, <RDI
Vitamin B12 (μg) 0.79 2.00 39% <EAR, <RDI
Total folate (μg) 239.91
Agnes 24-Sep-19 Page 1

Avg/Day EAR EAR(%) Alerts
Folate,total DFE (μg) 316.34 320.00 99% <EAR, <RDI
Folic acid (μg) 114.31
Food Folate (μg) 125.66
Total vitamin A equivalents (μg) 625.38 500.00 125% <RDI, <SDT
Retinol (μg) 190.41
Beta carotene equivalents (μg) 2611.34
Beta carotene (μg) 2124.67
Sodium (mg) 1126.58
Potassium (mg) 2308.53 <AI, <SDT
Magnesium (mg) 204.83 265.00 77% <EAR, <RDI
Calcium (mg) 445.59 1100.00 41% <EAR, <RDI
Phosphorus (mg) 768.13 580.00 132% <RDI
Iron (mg) 6.98 5.00 140% <RDI
Zinc (mg) 4.60 6.50 71% <EAR, <RDI
Selenium (μg) 16.27 50.00 33% <EAR, <RDI
Iodine (μg) 71.35 100.00 71% <EAR, <RDI
kJ from protein (%) 20
kJ from fat (%) 33
kJ from saturated fat (%) 13
kJ from trans fat (%) 1
kJ from carbohydrate (%) 44
kJ from alcohol (%) 0
kJ from fibre (%) 2
kJ from others (%) 1
Fat as mono (%) 33
Fat as poly (%) 24
Fat as saturated (%) 43
Very long chain N3 fatty acids (g) 0.05 <AI, <SDT
F18D2CN6 linoleic (g) 7.18 <AI
F18D3N3 alpha-linolenic (ALA) (g) 1.20
F20D5N3 eicosapentaenoic (EPA) (g) 0.01
F22D5N3 docosapentaenoic (DPA) (g) 0.02
F22D6N3 docosahexaenoic (DHA) (g) 0.01
Tryptophan (g) 1
Salicylates VH
Amines VH
Glutamates VH
GRAINS (serve) 2.3
- Refined (serve) 1.9
- Wholegrains (serve) 0.4
· Wholegrains percent (%) 16
Agnes 24-Sep-19 Page 2

Avg/Day EAR EAR(%) Alerts
FRUIT (serve) 0.0
- Citrus, melons & berries (serve) 0.0
- Other fruit (serve) 0.0
- Fruit juice (serve) 0.0
· Fruit juice percent (%) 0
VEGETABLES (serve) 1.7
- Dark green vegetables (serve) 0.3
- Red & orange vegetables (serve) 0.3
- Tomatoes (serve) 0.0
- Other red & orange vegetables (serve) 0.2
- Starchy vegetables (serve) 0.9
- Potatoes (serve) 0.5
- Other starchy vegetables (serve) 0.4
· Starchy vegetables percent (%) 49
- Legumes (serve) 0.0
- Other vegetables (serve) 0.3
PROTEIN FOODS (serve) 1.7
- Red meats (serve) 1.6
- Poultry (serve) 0.0
- Eggs (serve) 0.0
- Processed meats (serve) 0.1
- Organ meats (serve) 0.0
- Seafood high in LC N-3 (serve) 0.0
- Seafood low in LC N-3 (serve) 0.0
- Nuts & seeds (serve) 0.0
- Legumes (serve) 0.0
- Soy products (serve) 0.0
DAIRY (serve) 0.4
- Milk (serve) 0.0
- Cheese (serve) 0.4
- Yoghurt (serve) 0.0
- Milk alternatives (serve) 0.0
OIL EQUIVALENTS (tsp) 4
SOLID FAT EQUIVALENTS (tsp) 5
ADDED SUGARS (tsp) 14
· kJ from added sugars (kJ) 932
· kJ from added sugars percent (%) 22
ALCOHOLIC DRINKS (sd) 0.0
UNCLASSIFIED WEIGHT (g) 3.3
· Unclassified weight percent (%) 0
UNCLASSIFIED kJ (kJ) 10.2
Agnes 24-Sep-19 Page 3

Avg/Day EAR EAR(%) Alerts
· Unclassified kJ percent (%) 0
Caffeine (mg) 309
NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
ESTIMATED AVERAGE REQUIREMENT (EAR)
71%
33%
71%
140%
132%
41%
77%
125%
99%
39%
44%
156%
225%
53%
147%
136%
66% EERM
Iodine
Selenium
Zinc
Iron
Phosphorus
Calcium
Magnesium
Tot.Vit.A.Eq
Folate-DFE
Vit.B12
Vit.B6
Vitamin C
Niacin.Eq
Riboflavin
Thiamin
Protein
Energy
0% 100% 200% 300%
Avg/Day EAR EAR(%)
Protein (g) 51 38 136%
Thiamin (mg) 1.33 0.90 147%
Riboflavin (mg) 0.59 1.10 53%
Niacin equivalents (mg) 24.75 11.00 225%
Vitamin C (mg) 46.91 30.00 156%
Vitamin B6 (by analysis) (mg) 0.57 1.30 44%
Vitamin B12 (μg) 0.79 2.00 39%
Folate,total DFE (μg) 316.34 320.00 99%
Total vitamin A equivalents (μg) 625.38 500.00 125%
Magnesium (mg) 204.83 265.00 77%
Calcium (mg) 445.59 1100.00 41%
Phosphorus (mg) 768.13 580.00 132%
Iron (mg) 6.98 5.00 140%
Zinc (mg) 4.60 6.50 71%
Selenium (μg) 16.27 50.00 33%
Iodine (μg) 71.35 100.00 71%
Agnes 24-Sep-19 Page 4

NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
RECOMMENDED DIETARY INTAKES (RDI)
48%
27%
58%
87%
77%
34%
64%
89%
79%
33%
38%
104%
177%
45%
121%
108%
66% EERM
Iodine
Selenium
Zinc
Iron
Phosphorus
Calcium
Magnesium
Tot.Vit.A.Eq
Folate-DFE
Vit.B12
Vit.B6
Vitamin C
Niacin.Eq
Riboflavin
Thiamin
Protein
Energy
0% 100% 200% 300%
Avg/Day RDI RDI(%)
Protein (g) 51 47 108%
Thiamin (mg) 1.33 1.10 121%
Riboflavin (mg) 0.59 1.30 45%
Niacin equivalents (mg) 24.75 14.00 177%
Vitamin C (mg) 46.91 45.00 104%
Vitamin B6 (by analysis) (mg) 0.57 1.50 38%
Vitamin B12 (μg) 0.79 2.40 33%
Folate,total DFE (μg) 316.34 400.00 79%
Total vitamin A equivalents (μg) 625.38 700.00 89%
Magnesium (mg) 204.83 320.00 64%
Calcium (mg) 445.59 1300.00 34%
Phosphorus (mg) 768.13 1000.00 77%
Iron (mg) 6.98 8.00 87%
Zinc (mg) 4.60 8.00 58%
Selenium (μg) 16.27 60.00 27%
Iodine (μg) 71.35 150.00 48%
NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
Agnes 24-Sep-19 Page 5

ADEQUATE INTAKE (AI)
151%
90%
51%
82%
245%
61%
39%
63%
F18D3N3
F18D2CN6
VLCN3
Potassium
Sodium
Vitamin E
Fibre
Water
0% 100% 200% 300%
Avg/Day AI AI(%)
Water (g) 1763 2800 63%
Dietary fibre (g) 10 25 39%
Vitamin E (mg) 4.27 7.00 61%
Sodium (mg) 1126.58 460.00 245%
Potassium (mg) 2308.53 2800.00 82%
Very long chain N3 fatty acids (g) 0.05 0.09 51%
F18D2CN6 linoleic (g) 7.18 8.00 90%
F18D3N3 alpha-linolenic (ALA) (g) 1.20 0.80 151%
NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
UPPER LEVEL OF INTAKE (UL)
2%
6%
4%
12%
16%
26%
18%
6%
1%
1%
VLCN3
Iodine
Selenium
Zinc
Iron
Phosphorus
Calcium
Retinol
Vit.B6
Vitamin E
0% 100% 200% 300%
Avg/Day UL UL(%)
Vitamin E (mg) 4.27 300.00 1%
Vitamin B6 (by analysis) (mg) 0.57 50.00 1%
Retinol (μg) 190.41 3000.00 6%
Calcium (mg) 445.59 2500.00 18%
Phosphorus (mg) 768.13 3000.00 26%
Agnes 24-Sep-19 Page 6

Avg/Day UL UL(%)
Iron (mg) 6.98 45.00 16%
Zinc (mg) 4.60 40.00 12%
Selenium (μg) 16.27 400.00 4%
Iodine (μg) 71.35 1100.00 6%
Very long chain N3 fatty acids (g) 0.05 3.00 2%
NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
SUGGESTED DIETARY TARGETS (MINIMUMS)
11%
49%
51%
105%
30%
25%
35%
VLCN3
Potassium
Tot.Vit.A.Eq
Folate-DFE
Vitamin E
Vitamin C
Fibre
0% 100% 200% 300%
Avg/Day SDT-Min (%)
Dietary fibre (g) 10 28 35%
Vitamin C (mg) 46.91 190.00 25%
Vitamin E (mg) 4.27 14.00 30%
Folate,total DFE (μg) 316.34 300.00 105%
Total vitamin A equivalents (μg) 625.38 1220.00 51%
Potassium (mg) 2308.53 4700.00 49%
Very long chain N3 fatty acids (g) 0.05 0.43 11%
NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
SUGGESTED DIETARY TARGETS (MAXIMUMS)
56%Sodium
0% 100% 200% 300%
Avg/Day SDT-Max (%)
Sodium (mg) 1126.58 2000.00 56%
NRVs based on: Female, 72 years, 50 kg, 167 cm, Very Sedentary Activity
GOALS (MINIMUMS)
Unable to show graph - no values
Agnes 24-Sep-19 Page 7

GOALS (MAXIMUMS)
Unable to show graph - no values
RATIO ENERGY FROM PROTEIN, FAT, CARBOHYDRATE AND ALCOHOL
1%
2%
0%
44%
1%
13%
33%
20%
%kJ-Others
%Fibre
%kJ-Alcohol
%kJ-Carb
%Trans Fat
%Sat Fat
%kJ-Fat
%kJ-Protein
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
RATIO POLY, MONO AND SATURATED FATS
Poly-24%
Mono-33%
Sat-43%
Agnes 24-Sep-19 Page 8

FOOD LIST
Ingredient Weight(%)
Coffee 50.2
Juice 13.2
Water 12.6
Chops 4.82
Mixed vegetables 3.64
Sandwich 3.39
Coles Instant Gravy Traditional 3.17
Potato 3.08
Bread 1.46
Sugar 1.27
Woolworths Home Brand Scot 0.83
Mayonnaise 0.70
Bega Farmers' Tasty Cheese 0.70
Butter 0.48
Marmalade 0.34
Rice crackers 0.19
Agnes 24-Sep-19 Page 9